EN | UA
EN | UA

Help Support

Back

Cognitive behavioral therapy for insomnia eases short-term sleep woes for pregnant women

Insomnia and pregnancy Insomnia and pregnancy
Insomnia and pregnancy Insomnia and pregnancy

What's new?

Pregnant women can derive short-term relief from insomnia through cognitive behavioral therapy, but its long-term effectiveness remains uncertain.

According to a recent study, employing cognitive behavioral therapy for insomnia (CBT-I) as the first-line therapy may enhance sleep quality in pregnant females struggling with insomnia. The study aims to evaluate the efficacy of CBT-I in expectant mothers  and identify the effective components, modalities, and doses of the intervention. This study analyzed 10 databases (six English and four Chinese) for CBT-I randomized controlled trials in pregnant women.

Outcomes focused on insomnia severity (Insomnia Severity Index) and sleep quality (Pittsburgh Sleep Quality Index; PSQI). Two reviewers independently managed selection, extraction, and quality assessment. Pooled analyses, using fixed- or random-effect models, included subgroup analyses based on delivery types and intervention duration. Utilizing the GRADE approach, the certainty of evidence was examined. When meta-analysis was not applicable, narrative analyses were utilized. The main outcomes were mean differences with 95% confidence intervals, where higher scores indicated greater severity.

In this systematic review and meta-analysis, nine RCTs (978 participants) met inclusion criteria, employing individual (n=6) or group-based (n=3) interventions, using face-to-face (n=5), digital (n=3), or telephone and e-mail (n=1) formats. Six studies specified interventions for pregnant women. CBT-I showed immediate post-intervention (<1 month) improvements in insomnia severity (MD =−2.69, 95% CI: −3.41 to −1.96, high-quality evidence; MD = −3.69, 95% CI: −5.91 to −1.47, moderate quality evidence)  and short-term (≥1 to <6 months) improvements in sleep quality (MD=−2.85, 95% CI: −4.73 to −0.97, moderate quality evidence; MD =−1.88, 95% CI: −2.89 to −0.88, moderate quality evidence).

Two RCTs stated no effectiveness at medium-term (≥6 to <12 months) follow-up for insomnia severity. At long-term (≥12 months) follow-up, only one trial demonstrated decreased insomnia severity. Sleep quality efficiency at medium-term follow-up was inconclusive, and long-term follow-up was not illustrated. These findings suggest that CBT-I could be beneficial for pregnant women in addressing short-term insomnia, but its effectiveness appears to be limited in the long term.

Source:

Sleep Medicine

Article:

A comprehensive insight on cognitive behavioral therapy for insomnia in pregnant women: A systematic review and meta-analysis

Authors:

Xingchen Shang et al.

Comments (0)

You want to delete this comment? Please mention comment Invalid Text Content Text Content cannot me more than 1000 Something Went Wrong Cancel Confirm Confirm Delete Hide Replies View Replies View Replies en ru ua
Try: